# Free-living and in-lab effects of sedentary time on cardiac autonomic nervous system function in youth with overweight/obesity

> **NIH NIH F31** · UNIVERSITY OF SOUTHERN CALIFORNIA · 2024 · $47,874

## Abstract

PROJECT ABSTRACT
Cardiovascular disease (CVD) is a significant public health burden and remains the leading cause of mortality
among the U.S population. CVD progression can originate during childhood, and youth with overweight and
obesity (OW/OB) have an increased risk for CVD development. One mechanism that contributes to the
development of CVD is imbalanced cardiac autonomic nervous system (ANS) function. The cardiac ANS governs
the heart’s response to everyday conditions via sympathetic and parasympathetic modulation, in which balance
of the sympathetic and parasympathetic systems indicates healthy cardiac ANS function. However, youth with
OW/OB present overactivation of the sympathetic modulation of the heart, which is strongly associated with
several adverse health outcomes.
Studies in youth demonstrated that increased sedentary time (ST) is related to higher CVD risk. However, it is
unknown whether the associations between ST and CVD are due to time displaced from physical activity to ST
or due to underlying physiological processes stimulated by ST. Reduced cardiac ANS balance may be mediating
the ST and CVD risk association, but few researchers have examined the associations between ST and cardiac
ANS function, and none have examined associations within a day or within a person, and have not experimentally
manipulated prolonged ST. Understanding the relationship of ST to cardiac ANS function may provide insight
toward methodologies to alleviate CVD development, especially in youth with OW/OB who are at significantly
higher risk for CVD.
This project aims to leverage data collection opportunities from the NIH-funded Sedentary Breaks Study 3 (P.I.
Dr. Britni Belcher; R01DK12333) to elucidate observational and experimental relationships between ST and
cardiac ANS function via measures of heart rate variability in youth with OW/OB. The first phase of this project
will investigate daily associations between objectively-measured ST and cardiac ANS function under habitual
conditions. In the second phase, this project will have an innovative experimental component to determine the
acute effects of interrupting ST on cardiac ANS function in-lab over seven consecutive days among three
conditions: 1) continuous sitting (SIT), 2) sitting interrupted by 3-minute bouts of moderate-intensity walking every
30 minutes (SIT+WALK), and 3) sitting interrupted by a single 18-minute bout of moderate-intensity walking (EX).

## Key facts

- **NIH application ID:** 10874385
- **Project number:** 5F31HL164032-02
- **Recipient organization:** UNIVERSITY OF SOUTHERN CALIFORNIA
- **Principal Investigator:** Kelsey Lynn McAlister
- **Activity code:** F31 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $47,874
- **Award type:** 5
- **Project period:** 2023-01-01 → 2025-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10874385

## Citation

> US National Institutes of Health, RePORTER application 10874385, Free-living and in-lab effects of sedentary time on cardiac autonomic nervous system function in youth with overweight/obesity (5F31HL164032-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10874385. Licensed CC0.

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